scholarly journals Rapid response and learning for later: establishing high quality information networks and evaluation frameworks for the National Ambulance Service response to COVID-19 – the ENCORE COVID Project Protocol

2020 ◽  
Vol 3 ◽  
pp. 68
Author(s):  
Siobhán Masterson ◽  
Eithne Heffernan ◽  
Dylan Keegan ◽  
Bridget Clarke ◽  
Conor Deasy ◽  
...  
Keyword(s):  
Action Plan ◽  
Evaluation Framework ◽  
Ambulance Service ◽  
Information Networks ◽  
Emergency Team ◽  
Routine Service ◽  
National Quality ◽  
National Public Health ◽  
Information Updates ◽  
High Quality Information

Background: The National Ambulance Service (NAS) is at the forefront of Ireland’s response to the COVID-19 pandemic. As directed in Ireland’s National Action Plan, NAS significantly expanded prehospital services, including provision of a novel home and community COVID-19 testing service. Additionally, other health services rely on NAS’s capacity to assess, transport and/or treat COVID-19 patients. In a climate of innovation and adaptation, NAS needs to learn from international ambulance services and share experience. Evaluation of the NAS response to COVID-19 is required to facilitate evidence-based planning for subsequent waves or future pandemics, and to identify innovative practice for mainstreaming into routine service provision. Aims: This project aims to provide information networks and evaluation tools that will help NAS meet these requirements. Methods: The first aim will be to produce ambulance-specific research and information updates for NAS. Secondly, an international network of senior ambulance and research personnel will be established (‘AMBULANCE+COVID19’ network) and a short-survey instrument, the Emergency Medical Services Five Question Survey (EMS-5QS), will be developed. The EMS-5QS will enable AMBULANCE+COVID19 participants to nominate a topic for which they would like to hear about the experience and practice of other ambulance services. Multiple surveys covering a range of topics will be carried out. Finally, an evaluation framework will be developed to enable NAS determine innovations: (1) for reactivation in another wave or new pandemic; (2) to be sustained as part of routine service. The framework will be developed in collaboration with NAS and the Health Service Executive National Quality Improvement Team. The Research Team includes expertise from academia, ambulance services and the National Public Health Emergency Team. Conclusions: Ability to mobilise resources quickly and utilise ready-made international networks will ensure a successful project than can inform future information sharing methodologies and pandemic planning for ambulance services internationally.

scholarly journals Rapid response and learning for later: establishing high quality information networks and evaluation frameworks for the National Ambulance Service response to COVID-19 – the ENCORE COVID Project Protocol

2021 ◽  
Vol 3 ◽  
pp. 68
Author(s):  
Siobhán Masterson ◽  
Eithne Heffernan ◽  
Dylan Keegan ◽  
Bridget Clarke ◽  
Conor Deasy ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Ambulance Service ◽  
Information Networks ◽  
Medical Services ◽  
Routine Service ◽  
Emergency Medical ◽  
National Quality ◽  
The Impact

Background: The National Ambulance Service (NAS) is at the forefront of Ireland’s response to the COVID-19 pandemic. As directed in Ireland’s National Action Plan, NAS significantly expanded prehospital services, including provision of a novel COVID-19 testing service. Additionally, other health services rely on NAS’s capacity to assess, transport and/or treat COVID-19 patients. In a climate of innovation and adaptation, NAS needs to learn from international ambulance services and share experience. Evaluation of the NAS response to COVID-19 is required to facilitate evidence-based planning for subsequent waves or future pandemics, and to identify innovative practice for mainstreaming into routine service provision. Aims: This project aims to test the utility of novel information networks and develop a tool that is tailored to evaluating pandemic-imposed change in an emergency medical service. Methods: The first aim will be to introduce and measure the impact of ambulance-specific research and information updates for NAS. Secondly, the usefulness to members of an international network of senior ambulance and research personnel (‘AMBULANCE+COVID19’ network), and the clarity and feasibility of a short-survey instrument, the Emergency Medical Services Five Question Survey (EMS-5QS), will be assessed. Finally, an evaluation framework for assessing pandemic-imposed change will be developed to enable NAS determine innovations: (1) for reactivation in another wave or new pandemic; (2) to be sustained as part of routine service. The framework will be developed in collaboration with NAS and the National Quality Improvement Team. The Research Team includes expertise from academia, ambulance services and the National Public Health Emergency Team. Conclusions: This project will facilitate the prompt introduction of information sharing processes to an emergency medical service and assess the impact of those processes. By developing a process for evaluating pandemic-imposed change in NAS, this project will add to the toolbox for future pandemic planning in emergency medical services internationally.

scholarly journals An evaluation of the Victorian Salt Reduction Partnership’s advocacy strategy for policy change

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Emalie Rosewarne ◽  
Michael Moore ◽  
Wai-Kwan Chislett ◽  
Alexandra Jones ◽  
Kathy Trieu ◽  
...  
Keyword(s):  
Public Health ◽  
Policy Change ◽  
Action Plan ◽  
Evaluation Framework ◽  
Decision Makers ◽  
Health Advocacy ◽  
Salt Reduction ◽  
Public Health Advocacy ◽  
The Creation ◽  
The Impact

Abstract Background Public health advocacy strategies facilitate policy change by bringing key health issues to the forefront of public and political discourse, influencing decision-makers and public opinion, and increasing policy demand. The Victorian Salt Reduction Partnership (VSRP) was established in 2014 in response to inadequate government action to improve population diets in Australia. This study aimed to evaluate the success of the VSRP’s advocacy strategy in achieving policy change. Methods Documentation of VSRP activities and outputs were collected, and semi-structured interviews conducted as part of a comprehensive process evaluation. For this study, the Kotter Plus 10-step public health advocacy evaluation framework was used to guide data extraction, analysis, and synthesis. Results A sense of urgency for salt reduction was generated by producing evidence and outlining the potential impact of a state-based salt reduction programme. This enabled the creation of a coalition with diverse skills and expertise, which facilitated the development of an innovative and collaborative advocacy action plan. A clear change vision was established, but communication of the vision to decision-makers was lacking, which reduced the impact of the programme as decision-makers were not provided with a clear incentive for policy change. As a result, while programme outputs were achieved, these did not translate to achieving broader strategic goals during a limited-term intervention in a political climate unconcerned with salt. Conclusions The Kotter Plus 10-step framework was a useful tool for evaluating the success of the VSRP advocacy strategy. The framework enabled the identification of key strengths, including the creation of the guiding coalition, and areas where efforts could be improved in future similar strategies, such as effective communication within partnerships and to decision-makers, to better influence policy and improve public health impact.

scholarly journals An Evaluation of the Victorian Salt Reduction Partnership’s Advocacy and Policy Strengthening Strategy

2021 ◽  
Author(s):  
Emalie Rosewarne ◽  
Michael Moore ◽  
Wai-Kwan Chislett ◽  
Alexandra Jones ◽  
Kathy Trieu ◽  
...  
Keyword(s):  
Public Health ◽  
Policy Change ◽  
Action Plan ◽  
Evaluation Framework ◽  
Decision Makers ◽  
Health Advocacy ◽  
Salt Reduction ◽  
Public Health Advocacy ◽  
The Creation ◽  
The Impact

Abstract Background: Public health advocacy strategies facilitate policy change by bringing key health issues to the forefront of public and political discourse, influencing decision-makers and public opinion, and increasing policy demand. The Victorian Salt Reduction Partnership (VSRP) was established in 2014 in response to inadequate government action to improve population diets in Australia. This study aimed to evaluate the success of the VSRP’s advocacy and policy strengthening strategy.Methods: Documentation of VSRP activities and outputs were collected, and semi-structured interviews conducted as part of a comprehensive process evaluation. For this study, the “Kotter Plus” 10-step public health advocacy evaluation framework was used to guide data extraction, analysis and synthesis.Results: A sense of urgency for salt reduction was generated by producing evidence and outlining the potential impact of a state-based salt reduction program. This enabled the creation of a coalition with diverse skills and expertise, which facilitated the development of an innovative and collaborative advocacy action plan. A clear change vision was established but communication of the vision to decision-makers was lacking, which reduced the impact of the program as decision-makers were not provided with a clear incentive for policy change. Program outputs were achieved; however, these did not translate to achieving broader strategic goals during a limited-term intervention in an unsympathetic political climate.Conclusions: The “Kotter Plus” 10-step framework was a useful tool for evaluating the success of the VSRP advocacy and policy strengthening strategy. The framework enabled the identification of key strengths, including the creation of the guiding coalition, and areas where efforts could be improved in future similar strategies, such as effective communication within the partnerships and to decision-makers, to better influence policy and improve public health impact.

scholarly journals THE DEVELOPMENT OF INVENTORY, MONITORING AND INFORMATION NETWORKS SYSTEM OF FAUNAL DIVERSITY IN SOUTH SUMATRA

2017 ◽  
Vol 3 (2) ◽  
Author(s):  
Indra Yustian ◽  
Arum Setiawan ◽  
Doni Setiawan ◽  
Laila Hanum ◽  
Zulkifli Dahlan
Keyword(s):  
Web Application ◽  
Action Plan ◽  
Conservation Status ◽  
Information Networks ◽  
Data Management System ◽  
Information Network ◽  
International Level ◽  
Deforestation Rate ◽  
Degradation Rates ◽  
Biodiversity Information

Despite high attention and commitment of Indonesia in biodiversity conservation and its habitat, however, loss of biodiversity and habitat deforestation is also still high. Deforestation rate in Indonesia between period of 2000-2012 reach up 6.02 million ha, and approximately onethird of which is in Sumatra Island. As the fulfillment of CBD and Aichi targets, and in line with the mandate of the Law on the Conservation of Natural Resources and Ecosystems and IBSAP (Indonesian Biodiversity Strategy & Action Plan 2015-2020), we try to support the requires data as well as information on the current state of biodiversity. The aims are to develop an inventory system of biodiversity needed to establish baseline data on biodiversity including its conservation status in South Sumatra, develop a biodiversity monitoring system with qualitative parameters that can be used in the determination and monitoring of degradation rates of biodiversity, and the establishment of data management system and information network of fauna biodiversity in South Sumatera so that it can be utilized in monitoring and reporting of biodiversity at regional, national and international level at the international level. We conduct a comprehensive review of methods and techniques of inventory and monitoring of fauna biodiversity, especially those that have been done in the area of South Sumatra Province. We also analysis of data needs and information network of fauna biodiversity in South Sumatra. The results is shows in the web-application database, called the South Sumatran Biodiversity Information Networks, or SSBIN, and could preview at http://ssbin.unsri.ac.id/.Keywords: south sumatra, biodiversity, information, networks, SSBIN.

scholarly journals Developing a multisectoral National Action Plan for Health Security (NAPHS) to implement the International Health Regulations (IHR 2005) in Tanzania

2018 ◽  
Vol 3 (2) ◽  
pp. e000600 ◽  
Author(s):  
Janneth M Mghamba ◽  
Ambrose O Talisuna ◽  
Ludy Suryantoro ◽  
Grace Elizabeth Saguti ◽  
Martin Muita ◽  
...  
Keyword(s):  
Action Plan ◽  
International Health ◽  
Monitoring And Evaluation ◽  
Evaluation Framework ◽  
World Health ◽  
International Health Regulations ◽  
Member States ◽  
Health Security ◽  
National Action Plan ◽  
Health Regulations

The Ebola outbreak in West Africa precipitated a renewed momentum to ensure global health security through the expedited and full implementation of the International Health Regulations (IHR) (2005) in all WHO member states. The updated IHR (2005) Monitoring and Evaluation Framework was shared with Member States in 2015 with one mandatory component, that is, States Parties annual reporting to the World Health Assembly (WHA) on compliance and three voluntary components: Joint External Evaluation (JEE), After Action Reviews and Simulation Exercises. In February 2016, Tanzania, was the first country globally to volunteer to do a JEE and the first to use the recommendations for priority actions from the JEE to develop a National Action Plan for Health Security (NAPHS) by February 2017. The JEE demonstrated that within the majority of the 47 indicators within the 19 technical areas, Tanzania had either ‘limited capacity’ or ‘developed capacity’. None had ‘sustainable capacity’. With JEE recommendations for priority actions, recommendations from other relevant assessments and complementary objectives, Tanzania developed the NAPHS through a nationwide consultative and participatory process. The 5-year cost estimate came out to approximately US$86.6 million (22 million for prevent, 50 million for detect, 4.8 million for respond and 9.2 million for other IHR hazards and points of entry). However, with the inclusion of vaccines for zoonotic diseases in animals increases the cost sevenfold. The importance of strong country ownership and committed leadership were identified as instrumental for the development of operationally focused NAPHS that are aligned with broader national plans across multiple sectors. Key lessons learnt by Tanzania can help guide and encourage other countries to translate their JEE priority actions into a realistic costed NAPHS for funding and implementation for IHR (2005).

Development of a quality infrastructure for a 135-site statewide network of community oncologists.

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 74-74
Author(s):  
Gay Lindsey ◽  
J. Russell Hoverman
Keyword(s):  
Patient Satisfaction ◽  
Action Plan ◽  
Formal System ◽  
Patient Centered ◽  
Team Members ◽  
Employee Safety ◽  
Continuous Quality ◽  
Starting Point ◽  
National Quality ◽  
Quality Infrastructure

74 Background: The delivery of patient centered, high-value care requires a formal system of continuous quality improvement. In order to bring metrics to the site and physician level the need to revamp our program for 364 physicians was apparent The starting point was 4 physician-led network wide quality committees. Methods: In 2010, the position of Director of Quality Programs was created to assist in the development of a quality infrastructure for a statewide network of community oncologists. Beginning in January 2011 meetings were held with the management team of each site for education on national quality initiatives and the IOM 6 aims for improvement in healthcare. The discussion also included review of quality metrics set forth by ASCO’s QOPI, evidence-based pathway reporting, variance reporting on patient safety and employee safety, and processes to improve patient satisfaction. Each site then identified their team members, physician champion, and frequency of committee meetings. An action plan format was provided with discussion on components of the plan and the reporting structure to the physician-lead quality oversight committees. Results: The network currently has 38 quality committees serving 84 sites of service. Within a year’s time pathways assessable data improved from 84% to 90%, pathways adherence improved from 60% to 68%, and exception documentation rose from 14% to 25%. Variance reporting increased 35% and a network Patient Satisfaction Survey was created and administered with 10 surveys per physician collected and tabulated for baseline data. The survey process was reviewed and refined and will now be administered twice yearly at each site. Documentation of hospice referrals and follow-up processes on deceased patient information are key initiatives at each site. Conclusions: Development of a robust quality infrastructure at the site level can increase adherence to quality measures by identifying common barriers to improvement, sharing of best practices, and supporting the delivery of patient-centered, value-based care.

PP17 Comprehensive Evaluation Of A Technology With Expanding Indications

2018 ◽  
Vol 34 (S1) ◽  
pp. 72-72
Author(s):  
Laurie Lambert ◽  
François Désy ◽  
Leila Azzi ◽  
Maria Vutcovici ◽  
Anabèle Brière ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Evaluation Process ◽  
Field Evaluation ◽  
Quality Standards ◽  
Evaluation Framework ◽  
Risk Scores ◽  
Processes Of Care ◽  
National Quality ◽  
Cardiovascular Evaluation

Introduction:The use of transcatheter aortic valve implantation (TAVI) is evolving. Our Cardiovascular Evaluation Unit is implementing a comprehensive approach to inform decision-makers on optimal use of TAVI, including the development of quality standards. We are implementing a multifaceted evaluation framework in collaboration with clinical stakeholders.Methods:Our unit has carried out a continuous field evaluation in collaboration with the clinical teams at all six TAVI centers in Québec for the past four years (1 April 2013–31 March 2017), with regular feedback to the teams and sharing of results with each individual center. Hospital documentation was reviewed according to established national quality indicator definitions. Field evaluation data were combined with the results of systematic literature review to establish provincial standards for practice, through a deliberation process by an interdisciplinary committee of clinical experts from each center. Systematic surveillance of the literature is ongoing.Results:In the period 2013–2017, use of TAVI in Québec was limited to very elderly patients with significant comorbidities at high risk of operative mortality. We observed improvements in both processes of care (e.g. documentation of risk scores) and clinical outcomes (e.g. 30-day and 1-year mortality) over time. Our consensus standards recognize the potential value of TAVI for patients at moderate operative risk, identify uncertainties and recommend best practices for patient evaluation and clinical decision-making about choice of treatment.Conclusions:A comprehensive, long-term evaluation process of TAVI with feedback to centers is associated with improvements in processes of care and outcomes. In the present context of expanding clinical indications, we will continue to evaluate patient selection, processes and outcomes according to the newly-established provincial quality standards. This iterative approach facilitates continued evidence generation and decision-making for optimal use of an evolving intervention. We acknowledge the contribution of the members of the expert clinical committee.

Driving performance improvement using ASCO’s Quality Oncology Practice Initiative (QOPI).

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 203-203
Author(s):  
Shelby Darland ◽  
Christa Burnham ◽  
Nicolas Camilo ◽  
Thomas M. Beck ◽  
Dan Sayam Zuckerman
Keyword(s):  
Smoking Cessation ◽  
Data Collection ◽  
Performance Improvement ◽  
Cancer Care ◽  
Action Plan ◽  
Well Being ◽  
Care Providers ◽  
Smoking Cessation Counseling ◽  
National Quality ◽  
Primary Nurse

203 Background: Defining and quantifying quality care is a challenge for cancer care providers. Since 2007 St. Luke’s Mountain States Tumor Institute (MSTI) has been participating in QOPI and was one of 23 practices that received the inaugural QOPI Certification in June 2010. The goal of participation is to benchmark MSTI’s performance with oncology practices across the nation and identify areas for improvement that are recognized as national quality standards. Methods: After each round of QOPI data abstraction, physician and administrative leadership selected measures with the greatest opportunity for improvement. Monthly chart audits for each measure were completed and the results were shared with individual staff to increase education and accountability. In Spring 2010, the education assessment in MSTI’s Electronic Medical Record (EMR) was redesigned to facilitate efficient documentation and data collection of smoking cessation counseling. In July 2011, the performance improvement (PI) team created “Quality Checklists (QCL)” in MSTI’s EMR for three different QOPI measures: i) signed chemotherapy consent, ii) smoking cessation counseling, and iii) assessment of emotional well-being. To ensure signed chemotherapy consent, one QCL included a reminder sent by the primary nurse or secretary to the chemotherapy infusion nurses. To ensure smoking cessation counseling and assessment of emotional well-being by social work, the other QCL included an alert sent by the new patient representative to the primary nurse and social worker. Results: Signed chemotherapy consent improved from 10% (n=229) in 2007 to 100% (n=117) in 2012. Smoking cessation counseling improved from 13% (n=40) in 2007 to 93% (n=272) in 2012. Assessment of emotional well-being improved from 78% (n=302) in 2007 to 95% (n=120) in 2012. Of the patients that had problems with emotional well-being, 73% (n=55) in 2007 had their problems addressed and 95% (n=41) in 2012. Conclusions: QOPI has provided MSTI with the initiatives and benchmarks to quantify quality cancer care. By combining participation in QOPI and ongoing PI data collection, analysis, and action plan implementation MSTI has enjoyed marked improvements in quality.

scholarly journals Post-implementation Evaluation of a Digital Dictation System in a Large Health Service Using HOT-Fit Framework

2020 ◽  
Vol 15 (4) ◽  
pp. 60-70
Author(s):  
Christopher Bain ◽  
Aniruddha Goswami ◽  
Sheree Lloyd ◽  
Laura Davis
Keyword(s):  
Health Service ◽  
Clinical Care ◽  
Service Level Agreement ◽  
Service Level ◽  
End Users ◽  
Evaluation Framework ◽  
Mixed Method Research ◽  
High Quality Information ◽  
Technical Issues ◽  
And Performance

Objective: The objective of this study was to evaluate a digital dictation system (DDS) that has been implemented in a large health service. The data collected in this study was used to understand the overall uptake and performance of the system and consequently improve the quality of care delivered by the organisation.                           Methods: A mixed method research design was used in this study. Clinicians and Medical Transcriptionists using the DDS across the two campuses of the health service over a period of four months, were surveyed to assess the extent to which the implementation of the DDS is fulfilling its purpose. In addition, system usage statistics, project implementation documents and user support emails were also analysed. Results: This study utilised an existing comprehensive and validated evaluation framework, the Human, Organisation and Technology Fit (HOT-Fit) framework. Human fit: 79.55% (n=35) of Clinicians and 33.33% (n=2) of MTs reported an overall satisfaction with the DDS. Organisation fit: The document analysis revealed that the DDS selected aligned best with current organizational IT strategies and was an easy fit with existing practices. Technology fit: An overall satisfaction of 53.49% (n=23) from the Clinicians and 16.67% (n=1) from the MTs was reported on the DDS. Out of 22 issues lodged regarding the system, 77.27% (n=17) issues met the Service Level Agreement (SLA). Conclusions: The overall findings of the study suggest that, the DDS was a good fit within the organisation in terms of Human fit and Organisation fit. In terms of Technology fit there existed some technical issues on the end-user level due to the system being new to the end users. To overcome this and facilitate the smooth functioning of the DDS, effective communication with the vendor and other relevant stakeholders was recommended so that end users i.e. the Clinicians and MTs understand the system, its functionality and their role in providing timely and high-quality information for clinical care.

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